Indications

DeKleyn’s Test is used to assess the integrity of the vertebral arteries. A positive DeKleyn test may indicate Vertebrobasilar insufficiency (VBI).

Procedure

  1. Patient supine with the head of the table
  2. Examiner supports head and asks the patient to extend, laterally flex and rotate head.
  3. Position may be held for up to 45 seconds.
DeKleyn test - VBI

Examiner supports head and asks the patient to extend, laterally flex and rotate head.

Interpretation

Positive Dekleyn Test

    Positive Pre-syncope, nystagmus, vertigo, slurred speach, visual changes and/or nausea: Vertebrobasilar insufficiency

Clinical Notes

The test may be used as a screening procedure before cervical manipulation; patient’s eyes must be opened to observe the presence of nystagmus.